Application for Healthy Montana Kids (HMK)
Use this form to apply for Healthy Montana Kids (HMK) insurance. Please submit the application to the address provided on application. The State of Montana's Healthy Montana Kids Plan is a self-insured health plan and Blue Cross and Blue Shield of Montana acts only as the claims administrator.

Underwriting

Merit Group Request for Proposal
This form is completed by Sales Representatives and District Sales Managers with the group's insurance information. This will prompt the Underwriting work area to produce a quote.

Small Group Worksheet
Sales Represesentatives and District Sales Managers complete the Small Group Worksheet, which must be attached to the customer's employee health statements. The Employer Group Listing is provided to the Underwriting work area to produce a quote.